Organization · Type 2 NPI
Breakwater Adult Family Care Home LLC
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Dunnellon, FL
Practice location
22699 SW Breakwater Blvd
Dunnellon, FL 34431-4039
Fax (352) 401-7698
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | 6905655 (FL) |
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
Another provider at this address
About NPI 1356407704
Breakwater Adult Family Care Home LLC's National Provider Identifier is 1356407704, issued on Dec 29, 2006. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Dunnellon, FL. The record was last updated on Aug 22, 2020.